Individual provider Active NPI

Robert Siegmann, LCSW

  • Clinical Social Worker
  • Columbus, IN
National Provider Identifier
1962474866
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001339A Issued in IN
Practice address
1950 Doctors Park Dr Ste a
Columbus, IN 47203-2376
Phone
(812) 344-4935
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34001339A IN Primary

Addresses

Primary practice location

1950 Doctors Park Dr Ste a
Columbus, IN 47203-2376

Mailing address

1950 Doctors Park Dr Ste a
Columbus, IN 47203-2376
Phone (812) 344-4935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000876 IN Practitioner - Clinical Social Worker 9032136361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3625 Woodside Dr
Columbus, IN 47203-1229
Phone (812) 344-4935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001339AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Siegmann Psychotherapy LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 20, 2026 Accepting new patients
Centerstone Health Services, Inc. PastSince May 4, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1325 Washington St
Ste A
Columbus, IN 47201
Phone (812) 548-6002

1950 Doctors Park Dr
Ste A
Columbus, IN 47203
Phone (812) 344-4935

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centerstone Health Services IncRichmond, IN, CCN 151878 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)
Jan 1, 2021
Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1962474866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DOCTORS PARK DR STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032376",
            "telephone_number": "812-344-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DOCTORS PARK DR STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032376",
            "telephone_number": "812-344-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGMANN",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-01-17",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001339A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.